21 hours ago View full document. After change-of-shift report, which patient should the nurse assess first? a. 72-year-old with cor pulmonale who has 4+ bilateral edema in his legs and feet b. 28-year-old with a history of a lung transplant and a temperature of 101° F (38.3° C) c. 40-year-old with a pleural effusion who is complaining of severe stabbing ... >> Go To The Portal
The nurse is discharging a client with emphysema who is on continuous oxygen. The case manager alerts the nurse that the home oxygen will not be delivered until 2 hours later. What action should the nurse take? #69824297 (56) 1. Ask if the client can go without the oxygen for 2 hours. 2. Delay discharge until the oxygen is delivered. 3.
Check the medical record for the most recent potassium level. ANS: D The increasing QRS interval is suggestive of hyperkalemia, so the nurse should check the most recent potassium and then notify the patient's health care provider.
Assist the patient to the commode every 2 hours during the day A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?
The nurse performs the first Apgar assessment of a newborn at 1 minute of life. The baby is completely blue, with a heart rate of 110/min and is emitting a weak cry. The baby is actively moving and grimaces when the nares are suctioned.
Research indicates that family members want the option of remaining in the room during procedures such as cardiopulmonary resuscitation (CPR) and that this decreases anxiety and facilitates grieving. The other options may be appropriate if the family decides not to remain with the patient. Click again to see term 👆.
ICU visiting should be individualized to each patient and family rather than being dictated by rigid visitation policies. Inviting the family to participate in a multidisciplinary conference is appropriate but should not be the initial action by the nurse.
1. Client who did not require CPR but now has a new oxygen requirement of 2L via nasal cannula to maintain a saturation of 95%. 2. Client who did not require CPR but was coughing on arrival to the hospital and is now crying inconsolably and asking for the mother.
4. Shake canister well for 3-5 seconds. 5. Tilt head back slightly and exhale slowly for 3-5 seconds. 6. Wait at least 1-2 minutes before taking a second puff, if prescribed. 3. Several children are brought to the emergency room after a boating accident in which they were thrown into the water.